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PQU,N S A NJA Q U I N Environmental Health Department <br /> m . <br /> COUNTY <br /> cgtlF0%%' Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE : DATE : � )2,5 �2, 01 <br /> OS-f-c-d V�Jh � c�. l� .!'� � C1 <br /> ADDRESS : CITY : ZIP CODE : <br /> S-i� c.,4c-�-ori X52 I c <br /> OWNER/OPERATOR : TELEPHONE # : <br /> 1- e +r► a y Lisa any . Cor <br /> N ur I� k'+- 2 `� - Ll �- 3 - Z <br /> Cm <br /> TYPE OF INSPECTION : ❑ COMPLAINT ❑ CONSULTATION A OTHER PROGRAM RECORD pI � <br /> ill Lp yl }{{1111Y1 �1 r ELEMENT: 2 3 �(%' ID#: p1 <br /> NATURE OF COMPLAINT/CONSULTATION : <br /> UU +� mess 0* rp UjI y) -e, S con cor +a i n m-e ri -j-, <br /> S a 0 1l0 k <br /> r UM ve. vl-4- ho X <br /> Mppr r <br /> OBSERVATIONS/COMMENTS : <br /> oeC� Yt-t-Gti h+ -t -h Uuc4 p-er rmej <br /> U ,Z Zo l caw, • if. SerM <br /> -e C 2 jag 1 and his +=Pctv" Cor\ <br /> V) dybS+- 01'r, L as VCA lweVll - 4titsi -e <br /> t , W I +J(X CA u a � 002 Y IS ry„ <br /> A a. no wsruu ( Inc <br /> - e <br /> b yu Ury) pctsS-e <br /> mq - gSSf'� <br /> CORRECTIVE ACTIONS . <br /> m CC) I wU ►�-�- <br /> Ck or +- ii- ►'� i h a <br /> CORRECT BY : <br /> INSPECTED BY : <br /> RECEIVED BY: DATE . <br /> 40 ilillilljlllll <br /> EHD 48-05 Rev. 10/26/2017 Inspection Report <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468- 3420 1 F 209 464-0138 1 www . sjcehd . com <br />